Claim Representative - Accident and Health (Hybrid)

Intact Insurance Specialty Solutions•Farmington, CT

5d•$62,000 - $83,000•Hybrid

About The Position

Intact Insurance Specialty Solutions is seeking a Claim Representative to join its U.S. Accident and Health Claims team. The role is based in Plymouth, Minnesota; New York City, New York; Chicago, Illinois; Alpharetta, Georgia; Mt. Juliet, Tennessee; Farmington, Connecticut; or Denver, Colorado, and follows a hybrid schedule. The Claim Representative provides efficient and effective disposition of assigned claims through timely investigation, evaluation, and negotiation. The position involves determining coverage, assessing liability and damages, setting and adjusting reserves, directing internal and external claims resources, evaluating settlement values, negotiating claims within authority, and documenting claim activity. The representative also makes recommendations to management on claims that exceed their settlement authority and stays current on state licensing requirements and required education.

Requirements

1–3 years of claims experience.
UM/UIM experience.
PIP experience.
Bachelor’s degree preferred, or equivalent claims technical experience required.

Nice To Haves

Bachelor’s degree.

Responsibilities

Make timely and appropriate contacts and conduct the appropriate level of investigation to determine coverage, assess liability, and determine damages; take recorded statements from all parties involved in a claim.
Independently determine exposure, establish adequate initial reserves, and adjust reserves as needed in a timely manner.
Assign and direct internal and external resources, including independent adjusters and appraisers, and determine whether additional evidence is required, such as accident reports, scene reconstructions, witness statements, police reports, or expert opinions.
Independently determine settlement value and negotiate appropriate claim settlements within authority; recommend settlement and disposition for claims exceeding authority.
Clearly and concisely document relevant activity on assigned files and recommend additional activity as appropriate.
Stay current on state license requirements and participate in education as required.